Healthcare Outcomes Performance Co. (HOPCo) logo
Healthcare Outcomes Performance Co. (HOPCo)

HOPCo is the leading provider of musculoskeletal value-based health outcomes, service line and practice management.

Revenue Cycle Manager

Revenue OperationsRevenue OperationsFull TimeRemoteSeniorTeam 1,001-5,000H1B No SponsorCompany SiteLinkedIn

Location

Arizona

Posted

1 day ago

Salary

0

Seniority

Senior

High School5 yrs expEnglish

Job Description

Revenue Cycle Manager

Healthcare Outcomes Performance Co. (HOPCo)

• Manages the day-to-day operations of the billing department to maximize net revenues and cash flow by managing all aspects of the revenue cycle while ensuring adherence to policies and procedures. • Monitor accounts receivable activity and initiates appropriate corrective measures as needed. • Communicates performance data and associated action plans to Senior Leadership. • Identifies and implements processes to achieve key revenue cycle metrics including but not limited to A/R days, unbilled a/r, denial percentage, and cash collections. • Analyze large volumes of data and provide financial analysis and regularly presents trends, movements, and status to Senior Leadership. • Review billing work queues regularly to ensure that workloads are distributed evenly and that the department metrics are being met. • Resolve complex patient, physician, and other issues when necessary. • Manages self-pay receivables including vendor relationships to help resolve AR. • Develop and implement policies and procedures for designated areas; evaluate new systems and methods and recommend changes as necessary. • Communicate with payers and know when and how to escalate payer issues. • Oversee the hiring, training, and supervision of department personnel. • Maintains comprehensive knowledge of 3rd party billing requirements and reimbursement principles. • Conducts regular meetings with staff to discuss third-party reimbursement methodologies. • Keeps abreast of compliance regulations, standards, and directives regarding governmental/regulatory agencies and/or third party payers. • Research and resolve discrepancies in a timely manner. • Works with sensitive and confidential materials and must be able to exercise discretion. • Verifies and updates patient registration information in the practice management system.

Job Requirements

  • High School diploma or equivalent working knowledge preferred.
  • BA/BS in Business Administration, Accounting, Finance, or equivalent is preferred.
  • A minimum of office 5 year of experience in a leadership role within a billing department in healthcare revenue cycle operations.
  • Prefer experience working with multiple physician specialties.
  • Previous supervisory experience and strong leadership skills with an ability to motivate with a positive attitude that positively impacts others.
  • Demonstrated successful healthcare revenue cycle leadership experience.
  • Experience analyzing and trending financial data.
  • Excellent written and verbal communication and presentation skills.
  • Excellent critical thinking, troubleshooting, and analytical skills.
  • Excellent interpersonal skills including conflict management.
  • Experience working in Excel (advanced formulas, pivot table).
  • Well organized and able to meet deadlines.
  • Excellent attention to detail.
  • Knowledge of claims processing and editing systems.
  • Strong knowledge of Medicare and Medicaid payer guidelines across multiple states.
  • Knowledge of CPT, HCPCS, and diagnosis coding.

Benefits

  • Health insurance
  • Flexible work arrangements

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